Text Size: A+| A-| A   |   Text Only Site   |   Accessibility

Workers' Compensation Division (WCD)

Department Consumer & Business Services Department Divisions Building Codes Division Finance And Corporate Securities Fiscal and Business Services Information Management Division Insurance Division Oregon Occupational Safety And Health Division Workers' Compensation Division Offices Director's Office Ombudsman For Injured Workers Senior Health Insurance Benefits Assistance Small Business Ombudsman Boards Management-Labor Advisory Committee Oregon Medical Insurance Pool Board Workers' Compensation Board Home About Us Contact Us Customer Service Audits Laws & Rules Bulletins Forms Legislation Dispute Resolution Electronic Data-EDI Independent Medical Exam Ombudsmen Performance Measures Workers' Benefit Fund Jobs with WCD

Edward C. Lanssens    503-947-7742    Electronic Data Interchange (EDI) EDI medical bill reporting EDI proof of coverage reporting Other resources Receive updates to this information by e-mail EDI Medical Bill Reporting:     Send us an email about EDI Medical Bill Reporting questions         Medical EDI Traffic Report     Oregon EDI Medical Bill Reporting Implementation Guide 1/1/10 (Includes ANSI loop, segment, data element summary, and file naming instructions.)       Expanded List of Valid Revenue Codes 9/29/08       List of Program Changes Made During Testing 5/19/09       List of insurers required to submit medical billing data 6/13/07       List of taxonomy codes that do not require a diagnosis code 4/14/09     2008 EDI Medical Reporting User Teleconference notes     Frequently asked questions for EDI medical bill reporting 1/19/10     Revised required documents:       Event Table 4/2/08       Element Requirements 1/1/10       Edit Matrix 6/19/08     Required Trading Partner Documents:       Trading Partner Profile       Transmission Profile     Oregon Data Elements by Source table 2/3/10     UCF pharmacy form field information     Implementation Schedule     Final Reporter Cutover Plan NOTE: This document shows changes made to the earlier draft document.     Obtain IAIABC EDI Medical Implementation Guide     Current Rules affecting EDI medical bill reporting:       Division 009 - Oregon Medical Fee and Payment Rules       Division 160 - Electronic Data Interchange Rules EDI Proof of Coverage Reporting:   Policy-based EDI proof of coverage reporting - (policies effective on or after 7-1-09)     Guaranty contract-based EDI reporting - (policies effective before 7-1-09)     Employee Leasing Policy Identification   Other resources:   HIPAA   International Association of Industrial Accident Boards and Commissions (IAIABC)   National Council on Compensation Insurance   Insurance Services Office   Workers' COMP-LINK If you have questions about this webpage, please contact Edward C. Lanssens, 503-947-7742.

Adobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe. Available for Macintosh or Windows.